Monday Morning Rounds with CMS

ICYMI, here is recent communication from CMS.


ViVE 2023 in Nashville

Consider this panel on Center for Medicare and Medicaid Innovation.
CMMI was founded in 2010 with the lofty mission to fundamentally improve care and lower costs through the development and testing of new payment and service delivery models. Since then, there have been 5 Directors at its helm, across 3 different Administrations, who’ve jointly tested over 50 alternative payment models. Each Director putting their own mark on the mission before passing the proverbial torch to the next and the trials, triumphs and challenges along with it. Join CMMI’s current and former Directors to unpack the past decade of work. Have they strayed from their founding principles or are they closer than ever before? True healthcare reform is only as impossible as we believe it to be.

Register to Hear CMS Quality Program Updates

The next CMS Quality Programs Bi-Monthly Forum will be held on Tuesday, March 28 from 1:00 – 2:00 p.m. ET. The webinar will provide important updates relevant to CMS’s Quality Measurement and Value-Based Incentives Group (QMVIG). Attendees of the forum will also have an opportunity to ask CMS subject matter experts questions on the QMVIG quality reporting programs and initiatives.

The forum will include updates and/or details on the following topics:

  • Electronic Clinical Quality Improvement (eCQI) Resource Center;
  • CMS Quality Reporting Document Architecture (QRDA) I
  • Implementation Guide (IG), Schematron, and Sample File;
  • May 2023 HL7 FHIR Connectathon event; Annual Update Pre-Publication Document;
  • Recap of eCQM Known Issues;
  • Recap of EC eCQM Education & Outreach Webinar
  • The Medicare Promoting Interoperability Program
  • The Quality Payment Program, including the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Register for this event.

Approach to Person-Centered Care: Commitment to Patient Partnership Across the Model Lifecycle

The CMS Innovation Center invites you to join a virtual listening session as part of our continuing partnership with patients. This event will cover topics including:

  • Updates on the Center’s patient and caregiver experience and engagement strategy;
  • Key Innovation Center focus areas for 2023;
  • How the Center is using tools, such as patient journey mapping, to promote partnership and to improve the beneficiary experience; and
  • Recommendations from patients, caregivers, and their representatives to improve access, care coordination, and partnership in key Innovation Center priority areas.

The listening session is scheduled for Friday, March 31, from 2:30-3:30 PM ET. Please register here.



Now Available: Updated 2023 CMS QRDA I Implementation Guide (IG) and Schematron for Hospital Quality Reporting
CMS has published an update to the 2023 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG) and Schematron for Hospital Quality Reporting. This is an update to the IG version 1.1 published in January 2023.

Medicare Advantage Value-Based Insurance Design (VBID) Model to be Extended
The Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model will be extended for calendar years 2025 through 2030 and will introduce changes intended to more fully address the health-related social needs of patients, advance health equity, and improve care coordination for patients with serious illness.

Quality Payment Program

2021 Quality Payment Program (QPP) Performance Information Now Available on Care Compare
CMS added new 2021 Quality Payment Program (QPP) performance information for doctors, clinicians, groups, virtual groups, and Accountable Care Organizations (ACOs) to the Doctors and Clinicians section of Medicare Care Compare and in the Provider Data Catalog (PDC). CMS is required to report MIPS eligible clinicians’ final scores, MIPS eligible clinicians’ performances under each MIPS performance category, names of eligible clinicians in Advanced APMs and, to the extent feasible, the names and performance of such Advanced APMs. Performance information for doctors and clinicians is displayed using measure-level star ratings, percent performance scores, and checkmarks.

Administrative Simplification

CMS Innovation Center